How does breast explantation with block technique work?

Introduction: A New Start for Health and Confidence

More and more women are choosing to remove their breast implants, whether for medical, aesthetic, or personal reasons. In this context, the breast implant removal with the block technique has established itself as one of the safest and most complete procedures.

This technique allows us to eliminate not only the implant, but also the fibrous capsule that the body naturally forms around it, all in one piece. This minimizes the risk of contamination or material leakage, offering a cleaner and more controlled process.

Dr. Allan Ceballos, a plastic surgeon in Guadalajara with extensive experience in breast surgery, applies this technique with a careful and personalized approach, prioritizing both safety and aesthetic harmony of the final result.

Also read: Difference between a breast reduction and a breast implant explantation.

What is the block technique?

La Technique en Bloc consists of removing the breast implant and the scar tissue capsule that surrounds it in one piece, without opening or breaking the capsule during the procedure.

The capsule is formed naturally as a reaction of the body to the implant, acting as a protective barrier. However, in some cases, it may become stiff, inflamed, or accumulate substances that cause discomfort or health concerns.

Removing the implant along with the entire intact capsule prevents the release of content or microorganisms to the rest of the breast tissue, offering a safer and more controlled solution, especially in cases of:

  • Severe capsular contracture
  • Suspected implant rupture
  • Symptoms related to Breast Implant Disease Syndrome (BII)
  • Prevention or treatment of implant-associated anaplastic large cell lymphoma (BIA-ALCL)

Why choose block extraction instead of conventional extraction?

In a conventional extraction, the surgeon removes the implant first and then cleans up any remnants of capsules that may remain attached to the tissue. In the block technique, on the other hand, the entire set is extracted at once, avoiding any contact of the contents with the body.

Advantages of the block technique:

  1. Increased biological safety: prevents silicone or fluid from leaking into breast tissue.

  2. Reducing the risk of inflammation or infection: by completely removing the capsule, traces of inflamed tissue are prevented from remaining.

  3. Relief of symptoms associated with implants: Some patients experience improvement in their general well-being after surgery.

  4. Cleaner and more predictable results: provides a secure base for future reconstructions or cosmetic surgeries.

Dr. Ceballos evaluates each case individually, since not all patients require block extraction. The decision depends on the condition of the implants, symptoms, and breast anatomy.

How to remove breast implants with the en bloc technique

1. Preoperative evaluation

During the initial consultation, Dr. Ceballos performs a comprehensive evaluation: he reviews the type of implants, the condition of the capsule, and the symptoms reported. At this stage, you can request imaging studies such as ultrasound or magnetic resonance imaging to identify ruptures or accumulations of fluid.

2. Anesthesia

The procedure is carried out under deep sedation with regional anaesthesia, a safer and quicker recovery option than general anesthesia. This type of anesthetic management allows the patient to rest completely without compromising cardiovascular safety.

3. Incision and access

Usually, the incision is made at the same site as the previous surgery (either through the breast groove or the areola) to prevent new visible scars. The surgeon carefully exposes the implant and its capsule, separating them from the breast and muscle tissue without damaging them.

4. Full extraction

The most critical step is removing the implant. Together with its intact capsule. This requires great precision and surgical experience, since the capsule may be attached to the chest muscle or ribs. Dr. Ceballos performs this maneuver with delicacy, maintaining the integrity of the whole.

5. Fabric review and closure

After the implant is removed, the surgeon carefully examines the cavity to ensure that there is no residue left. Depending on aesthetic needs, you can perform a mastopexy (breast lift) or a breast rejuvenation to redefine the natural shape of the bust.

Finally, temporary drains are placed to prevent fluid accumulation, and the incisions are closed with fine sutures.

You may also be interested in: Is Breast Explantation a Reversible Procedure? Understanding Options and Considerations.

Recovery after surgery

Recovery varies depending on the extent of the procedure and the condition of the breast tissue. In general:

First week

  • Mild to moderate pain controlled with pain relievers
  • Use of drains for the first few days to prevent seromas.
  • Relative rest and gentle arm movements

Weeks 2 to 4

  • Removal of drains and points.
  • Decreased inflammation.
  • Constant use of a postoperative bra for support and comfort.

After the first month

  • Gradual return to daily activities.
  • The scars begin to soften.
  • The breast adopts its new natural shape, free of implants.

Dr. Ceballos performs close monitoring, accompanying the patient at every stage of recovery to ensure adequate healing and a harmonious result.

Aesthetic and emotional results

Beyond medical benefits, the implant removal with block technique represents for many women an experience of personal renewal.
The chest feels more natural and lighter, and the absence of implants can bring a new sense of physical and emotional well-being.

Dr. Ceballos combines his technical expertise with an artistic vision to restore the symmetry, softness, and proportion of the bust, always seeking a result that respects the femininity and anatomy of each patient.

Possible risks or complications

Although the block technique is safe when performed by an experienced surgeon, like all surgery, it involves certain potential risks:

  • Bruises or seromas (fluid build-up)
  • Surgical site infection
  • Changes in nipple sensitivity
  • Visible scars (usually discreet and well-located)
  • Irregularities in the shape of the chest if reconstruction is not performed

Dr. Ceballos takes preventive measures at every stage, using advanced closure techniques, drain control, and postoperative monitoring to minimize any complications.

Reconstruction options after extraction

After the removal of the implants, some patients prefer not to replace them, while others choose complementary surgery to maintain the shape and projection of the bust.

1. Mastopexy or breast lift

It allows natural breast tissue to be repositioned, restoring a youthful and firm appearance.

2. Lipotransfer (fat grafting)

It consists of extracting fat from other areas of the body (such as the abdomen or thighs) and transferring it to the chest, achieving a natural reconstruction without implants.

3. Replacement of new implants

In selected cases, it is possible to place new implants, always under safety criteria and approved materials.

Dr. Ceballos personally advises each patient on the best option according to their anatomy, expectations, and lifestyle.

You may also be interested in: Can a Breast Lift Be Performed After Breast Explantation Surgery? Know Your Options and the Recovery Process.

Frequently asked questions about implant removal with the block technique

What is the difference between the block technique and total capsulectomy?

In total capsulectomy, the entire capsule is removed, but not necessarily along with the implant. In the block technique, they are extracted together, without breaking the capsule, offering greater safety against leaks or contamination.

Is the block technique always necessary?

Not always. In cases where the capsule is thin or without swelling, it may not be necessary to remove it completely. The surgeon determines the ideal technique based on individual evaluation.

How long does the surgery last?

It depends on the complexity and whether it is combined with another procedure. On average, it lasts 2-3 hours.

Is recovery painful?

There may be discomfort for the first few days, controlled with mild pain relievers. Most patients return to normal activities within 2 to 3 weeks.

What happens to the appearance of the bust after the implants are removed?

The result varies depending on the original volume of the breast and the length of time the implants were worn. In many cases, mastopexy or lipotransference is recommended to maintain the shape.

Can I redevelop a capsule if I have new implants?

Yes, although the chances of capsular contracture are significantly reduced with modern techniques and high-quality materials.

Dr. Allan Ceballos's Approach: Precision, Empathy, and Natural Results

Dr. Allan Ceballos approaches each surgery with a combination of Science, Art, and Human Sensibility. Its objective is not only to remove the implants, but to accompany the patient in a safe and positive transformation, restoring both health and confidence in her body.

From the first consultation, Dr. Ceballos actively listens to the concerns and expectations of each woman, clearly explaining the benefits, risks, and reconstructive options. His commitment to safety, natural aesthetics, and personalized attention has made his practice a reference in breast surgery in Mexico.

A procedure for starting over with confidence

La breast implant removal with the block technique offers a comprehensive solution for those who seek to recover their well-being and naturalness.
Beyond the aesthetic aspect, it represents an opportunity to reconnect with your own body and feel comfortable without relying on implants.

Under the care of Dr. Allan Ceballos, this procedure is performed with the utmost precision, safety, and artistic sensitivity, ensuring a harmonious result and a smooth recovery experience.

Do you want to know more about this procedure or schedule a personalized assessment? Schedule a consultation with Dr. Allan Ceballos in Guadalajara, Mexico, and discover how this advanced technique can help you regain confidence with natural and safe results.